Evidence map›Paper›PMID 18615361›Full record

ArticleScandinavian journal of primary health care2008

Bacterial superinfection in upper respiratory tract infections estimated by increases in CRP values: a diagnostic follow-up in primary care.

Heide Lingard, Sonja Zehetmayer, Manfred Maier

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in Scandinavian journal of primary health care, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.9field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. FebriDxMolecular diagnosis & therapy · 2019
    Article
  5. Article
  6. Article
  7. Article
  8. The problems of antibiotic overuse.Scandinavian journal of primary health care · 2010
    Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Heide LingardDepartment of General Practice and Family Medicine, Medical University, Vienna, Austria. heide.lingard@meduniwien.ac.at
Sonja Zehetmayer
Manfred Maier
Medical University of Vienna · ATStatistics Austria · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of this study was to estimate the rate of bacterial superinfection in patients with URTI by using on-site determination of C-reactive protein (CRP).

designA prospective cohort study.

settingA total of 30 primary care practices. SUBJECTS: Patients with URTI.

interventionThe CRP value was determined at the first consultation and at a follow-up within 3-5 days. CRP values of 30 units (mg) or higher were considered to be an indication of bacterial involvement.

main outcome measuresCRP values during follow-up and duration of illness.

resultsAmong the 506 patients included, 73.1% exhibited a CRP value below the defined limit at their first visit and were considered to suffer from URTI of viral origin. The rate of subsequent bacterial superinfection was 8.1%. Compared with patients suffering from URTI of bacterial or viral origin the duration of illness in patients with bacterial superinfection was significantly longer.

conclusionDuring follow-up of patients with URTI, the prevalence of bacterial superinfection detected by using a near patient CRP determination is surprisingly low. This result should help to reduce the prescription rate of antibiotics in primary care.

Indexed as

AdolescentAdultAgedAged, 80 and overChildChild, PreschoolCohort StudiesC-Reactive ProteinFemaleFollow-Up StudiesHumansMaleMiddle AgedProspective StudiesRespiratory Tract InfectionsSuperinfectionC-Reactive Protein

Identifiers

PMID18615361
PMCPMC3406637
OpenAlexW2127774862

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.